Will I Get a Good Result from a Breast Lift Without Implants? (photo)

I am completely opposed to implants, so please dont even try to convince me to get them. I have already made up my mind - NO IMPLANTS... thanks... However, I am still torn on whether its worth the bother to get the lift done? I just want to repostion my nipples. I'm not looking to get any major upper pole or anything like that, and wouldn't even mind if they end up a tad smaller as a result of the lift. I just want to know if its worth the time, money, and not to mention scarring... Thank You!

Doctor Answers 19

Mastopexy without implants

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You can create cleavage and shape without implants.  during the breast lift if you reshape the breast tissue like an implant the results will look like you have an implanted place. When you're doing a breast lift you want to get the maximum lift possible so the lift will hold over time. In my opinion central pedicle short scar breast lift is a key to creating a  breast lift with good cleavage and shape without an implant.

If you look at my real self page or my website under breast lifts none of these photos have an implant in place they all use the patient's natural tissue to create shaped cleavage. The advantage of your own tissue is that it doesn't have a lifespan of 10 years like an implant. So once the surgery is done you don't have to deal with again in another 10,15 or 20 years. You're much better off not using implant if you don't need one. Breast reductions make the breasts smaller mastopexy's do not make the breast smaller. In my opinion the only reason to use an implant is to make the breast bigger. If you're happy with the size you are in a bra then the lift is all you need and you can make just as much cleavage as an implant.

Miami Plastic Surgeon
4.8 out of 5 stars 234 reviews

Lift without implants

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is clear from your question that you understand what the lift will accomplish and what it cannot. You want a more youthful elevated position of the nipple areola complex and are not overly concerned with upper pole fullness. A lift can accomplish your goals. Your photos demonstrate good breast volume which can be shaped during the lifting procedure.

Only you can decide if the final result is worth the time, money and scarring. This is directly proportional to how much your breast appearance concerns you. The recovery is not difficult and the scarring should be minimal given the appearance of your skin.

Seek out a board certfied plastic surgeon and ask to see mastopexy photos. If you like what you see then you should move forward.

I hope this was helpful.

Robert W. Kessler, MD, FACS
Corona Del Mar Plastic Surgeon
5.0 out of 5 stars 130 reviews

Will I Get a Good Result from a Breast Lift Without Implants?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

A breast lift will result in breasts that do not hang down so far, and the nipple will be elevated into a better position for a more aesthetically pleasing breast shape.  Your existing breast tissue will be pushed higher so that there will be some degree of greater fullness behind the new nipple position, in the main or middle portion of your breast. There will be NO greater fullness in the upper portion of your breast, which you say is not important to you, as only implants can reliably provide this.  Your breasts will be no smaller after lifting (unless a thimble sized amount of the outer layer of excess skin that is removed is considered significant).  What looks in the photo like some asymmetry in the overhang of your breasts should be improved. Whether these changes in your breast shape and nipple position are worth the scars of a lift, which usually do quite well but certainly vary from patient to patient, only you can say. Asking to look at a variety of pre and post op photos of similar patients should help you make this decision.

Lift without implants

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Go for it. You should get a great result with just a lift. Definitely worth it. I never try to talk someone into implants. Your bra size shouldn't really change much at all. If the surgery is done well than the scars should heal thin and flat and eventually blend in well. You will feel sexier and enjoy your breasts more if they are higher, tighter and perkier as I suspect that this is your goal.

Breast Lift without Implants

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
The insertion of an implant as well, may be advisable to restore superior fullness, which is lost with aging and after pregnancy despite the rest of the breast being overly large. Fat grafting can be used instead of implants to improve the contours of the breast.

An #AugmentationMastopexy involves placing a small implant at the time of the #mastopexy to add volume or contour the upper breast. Another option is the #NaturalBreastLift or #CaliforniaBreastLift which places fat in the upper breast instead of an implant to help the shape of the breast.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Breast lift without implants

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

From your photo it appears you have adequate breast volume, and I agree with you that you don't need to have a breast augmentation with implants.  You could consider a breast lift to reposition the nipples.  This procedure could be done in a variety of ways.  Excess skin could be removed from around the areolas in a donut shape, resulting in a scar only around the edge of the areola.  Or skin could be removed from around the areola and vertically below the nipple resulting in a lollipop shaped scar.  Finally, skin could be removed from the above areas and in a crescent along the inframammary fold resulting in an anchor shaped scar.  Each procedure has its advantages and disadvantages.  Those with fewer scars provide less lift and visa versa.  Seek the opinion of a broard certified plastic surgeon who routinely performs the various options.  Good luck!  

Vincent D. Lepore, MD
San Jose Plastic Surgeon
4.7 out of 5 stars 63 reviews

Beautiful breasts without implants

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I couldn't agree with you more. Implants would only make things worse for you in the long run. There is a new technique that is called the Ultimate Breast Lift that reshapes and suspends breasts without the need for a vertical scar. The scars are hidden around the areola and in the natural crease under the breasts. The results are natural and very pleasing to patients. This technique works for all breast and skin types. It's worth looking into.

Best wishes, Dr. H

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 230 reviews

You should get a good result with lift only

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
If you are happy with the size of your breast ,then lift alone will give you the shape. You have uneven breasts and you will have uneven breasts after surgery. Lift will remove some skin,reposition the nipple/areola complex and firm up your breast tissue.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.8 out of 5 stars 154 reviews

Breast Lifting Worth It?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for the question and picture.

Only YOU  can answer the question whether breast lifting is "worth it"  or not in your specific case. It will come down to how much the the "deformity" (position of the nipples)  bothers you versus the costs ( time, money, scarring)  associated with fixing the “deformity”.

Based on the pictures it is clear that a breast lift will help you by raising the nipple/areola complexes and  tighten up the breast skin envelope.  

The operation will likely involve incisions around the areola as well as vertically oriented ('vertical mastopexy"). The trade-off typically seen with breast lifting is improvement in breast position versus the  presence of scars. Whether to proceed with the surgery  becomes a very personal decision that should be made after weighing the pros and cons carefully.

I hope this helps.

Will I get a good result from a breast lift without implants? (photo)

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for your question and photos!  It is normal for the breast to lose its firmness and perkiness over time, which is accentuated with age, pregnancy/breast feeding, weight gain/loss, and gravity.  This ultimately results in ptosis, or sagging, of the breast with a “deflated” appearance.  Women often seek the mastopexy, or breast lift, procedure to regain the previous youthful appearance of her breasts and desire that uplifted and perky appearance of her breasts.  Women report increased confidence, self-esteem, and femininity once she achieves this desired shape and fullness.  Breast lifts may or may not be performed with implants – the implant would add increased size but also greater fullness in the upper pole of the breasts which creates more cleavage.  The implant itself will add these things - given your photos, a breast lift alone is a reasonable decision.  

So, the changes of your breasts are normal and will continue to occur.  The decision for a breast lift will be up to you...depending on how much you are bothered about the shape as well as your concerns.  Consult with a board certified plastic surgeon well-versed in breast surgery and s/he will assist you in deciding if a mastopexy will be the right decision for you.  Thank you for your question!  Hope that this helps.  Best wishes for a wonderful result!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.